Senior Specialist, Network Contracting
New
Open to candidates who reside in floridaFull-TimeSenior
Salary71,539.2 - 93,895.2 USD per year
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Job Details
- Experience
- 2+ years of experience in provider network operations or contracting or provider services
- Required Skills
- Data Analysis
Requirements
- 2+ years of experience in provider network operations, contracting, or provider services.
- 1+ years of experience in Health Insurance (Individual and/or Medicare Advantage) or the Healthcare industry.
- 1+ years of experience navigating and organizing large data sets such as claim files and provider rosters.
Responsibilities
- Support and negotiate contracts focusing on favorable terms and compliance.
- Utilize provider financial data and competitor analytics to inform decisions.
- Adhere to defined metrics and SLAs for provider outreach and contract completion.
- Build and maintain relationships with healthcare providers.
- Resolve provider issues to ensure network stability and quality.
- Collaborate with provider services regarding network communication and education.
- Support provider onboarding, training, and resource distribution.
- Collaborate with internal teams like Claims and Credentialing to resolve issues.
- Participate in process improvement initiatives.
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